Individual
JANNETTE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1055 E TREMONT AVE, BRONX, NY 10460-2306
(917) 297-6842
Mailing address
76 BROOKSIDE AVE UNIT 23, CHESTER, NY 10918-7502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F-383560
NY
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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